Matthew Sullivan Ives
Counselor in Oklahoma City, OK. Individual provider (NPI-1).
NPI number1407051998
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1407051998
- Entity type
- Individual (NPI-1)
- Name
- Matthew Sullivan Ives
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 15, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
4436 Nw 50th StOklahoma City, OK 73112-2212
Phone 405-858-2700
Mailing address
4436 Nw 50th StOklahoma City, OK 73112-2212
Phone 405-858-2700
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